CAMHS Flashcards
What is RAD
reactive attachment disorder
onset of RAD
<5yo
features of RAD
associated with pathological care - disregard for child’s needs
individuals struggle to form loving, lasting, intimate relationships
can involve: malnutrition, growth delay, abuse, infectious disease
types of RAD
inhibited
disinhibited (rarer)
what is the difference between inhibited and disinhibited RAD
inhibited - child does not seek adult help during times of stress
disinhibited - child who shows excessive familiarity to strangers
attachment disorders are precursors to personality disorders in adulthood, true or false
true
causes of attachment disorders
frequent changes in primary carer abuse neglect trauma inexperienced parents autism
List alarming symptoms of attachment disorder
persistent and unexplained severe colic poor eye contact no reciprocal social smile delayed gross motor skills resists affection appear stiff
common symptoms in attachment disorder
impulsive and no remorse S+L delays avoids/overseeks physical contact lacks social boundaries aggressive and anxious hyperactive prefers to play alone
describe the neurobiology of RAD
organic response that mimics inflammation and so there is an increase in cortisol which means the brain cannot develop properly since the body is constantly in ‘fight or flight’ mode
differentials of RAD
CD conduct disorder
depression
ASD
ADHD
how does CD differ from RAD
CD - able to form satisfying relationships
management of RAD
family therapy individual therapy play therapy medications - ONLY for symptoms of co-morbidities special education intervention
what is conduct disorder
repetitive and persistent pattern of behaviour in which the rights of others are violated
i.e. violent behaviour
criteria for CD
> =3 of the following in the last 12 months and 1 in the past 6 months
- aggression to people or animals
- destruction of property
- deceitfulness / theft
- serious violation of rules
